MEDICARE: KAYLA FERRY CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP029466	PA

General Provider Information

NPI Number	:	1932968476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA FERRY CRNP

Provider Business Mailing Address
First Line	:	2711 OAK FOREST DR
Second Line	:
City	:	NILES
State	:	OH
Zip	:	44446-4474
Country	:	US
Telephone Number	:	937-703-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 NESBITT RD STE 253
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-3414
Country	:	US
Telephone Number	:	724-652-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/27/2024

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